Evidence map›Paper›PMID 37245692›Full record

ArticleArchives of physical medicine and rehabilitation2023

Development of a Short Form Assessment Combining the Fugl-Meyer Assessment-Upper Extremity and the Wolf Motor Function Test for Evaluating Stroke Recovery.

Michelle Woodbury, Emily S Grattan, Chih-Ying Li

Open access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Michelle WoodburyDepartment of Health Sciences & Research & Division of Occupational Therapy, Medical University of South Carolina, Charleston, SC. Electronic address: WoodbuML@musc.edu.
Emily S GrattanDepartment of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA; Pittsburgh VA Medical Center, Human Engineering Research Laboratories, Pittsburgh, PA.
Chih-Ying LiDepartment of Occupational Therapy, University of Texas Medical Branch, Galveston, TX.
Medical University of South Carolina · USThe University of Texas Medical Branch at Galveston · USUniversity of Pittsburgh · US

Funding

Treating Depression and Enhancing Locomotor Recovery Post-strokeP20GM109040 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KAUTZ, STEVEN A. · 2014 to 2024
$23.5M
Establishing the Functional Viability and Dose-Response of Duck, Duck Punch: A Stroke Rehabilitation Computer GameR44NS097061 · NINDS · RECOVR, INC. · PI HAYES, AUSTEN LUKE, WOODBURY, MICHELLE LYNNE · 2016 to 2017
$944k
Standardized Patient Assessment across Post-Acute Care: Opportunities and ChallengesK01HD101589 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI LI, CHIH-YING · 2020 to 2024
$632k
Patient-Targeted Upper Extremity Rehabilitation After StrokeI01RX000799 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI WOODBURY, MICHELLE LYNNE · 2015 to 2017
–
Improving Measurement and Treatment of Post-stroke NeglectIK2RX002420 · VA · VETERANS HEALTH ADMINISTRATION · PI GRATTAN, EMILY · 2018 to 2023
–
NICHD NIH HHS K01 HD101589NIGMS NIH HHS P20 GM109040NINDS NIH HHS R44 NS097061RRD VA I01 RX000799RRD VA IK2 RX002420
6 · The paper itself

Abstract

objectiveTo use Rasch methodologies to combine the items of the Fugl-Meyer Assessment-Upper Extremity (FMA-UE, motor skill) and the Wolf Motor Function Test (WMFT, motor function) onto a single measurement metric and create an FMA-UE+WMFT short form.

designSecondary analysis of preintervention data from 2 upper extremity stroke rehabilitation trials. Confirmatory factor analysis and Rasch rating scale analysis were first applied to examine the properties of the pooled item bank and then item response theory methodologies were used to develop the short form. Confirmatory factor analysis and Rasch analysis were then applied to the short form to examine the dimensionality and measurement properties.

settingOutpatient academic medical research center.

participantsData from 167 participants who completed the FMA-UE and WMFT (rating scale score) were pooled (N=167). Participants were eligible if they had a stroke ≥3 months prior and had upper extremity (UE) hemiparesis and excluded if they had severe UE hemiparesis, severe UE spasticity, or UE pain.

interventionNot applicable.

main outcome measuresThe dimensionality and measurement properties of the pooled 30-item FMA-UE and the 15-item WMFT and short form were examined.

resultsFive items from the pool of 45 items were misfit and were removed. The 40-item pool demonstrated adequate measurement properties. A 15-item short form was then developed and met rating diagnostic scale criteria. All items on the 15-item short form met the Rasch fit criteria, and the assessment met criteria for reliability (Cronbach alpha=.94), separation (person separation = 3.7), and strata (number of strata = 5).

conclusionsItems from the FMA-UE and WMFT can be pooled to create a psychometrically sound 15-item short form.

Indexed as

StrokeStroke RehabilitationDisability EvaluationHumansParesisRecovery of FunctionReproducibility of ResultsUpper ExtremityOutcome assessmentRehabilitationStrokeUpper extremity

Identifiers

PMID37245692
PMCPMC10543466
OpenAlexW4378417476

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.